Active NPI
Gwenda Renee' Gnadt, O.D., M.P.H.
- Optometrist
- Nesconset, NY
National Provider Identifier
1689676728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- V5220
- Practice address
- 271 Smithtown Blvd
Nesconset, NY 11767-2041 - Phone
- (631) 588-5100
- Fax
- (631) 588-5185
- NPI assigned
- Jun 1, 2005
- Last updated
- Dec 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | V5220 | NY | Primary |
Addresses
Primary practice location
271 Smithtown Blvd
Nesconset, NY 11767-2041
Mailing address
271 Smithtown Blvd
Nesconset, NY 11767-2041
Phone (631) 588-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
271 Smithtown Blvd
Nesconset, NY 11767-2041
Phone 6315885100204
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V5220 | NY | MD | Optometrist |
Interoperability endpoints
- ggnadt@eva.eyefinity-direct.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1689676728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 SMITHTOWN BLVD",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117672041",
"telephone_number": "631-588-5100",
"fax_number": "631-588-5185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 SMITHTOWN BLVD",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117672041",
"telephone_number": "631-588-5100",
"fax_number": "631-588-5185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GNADT",
"first_name": "GWENDA",
"middle_name": "RENEE'",
"name_prefix": "Dr.",
"credential": "O.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "V5220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nesconset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.